| NPI | 1841580248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 21255) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6987) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-04-02 |